SURGERY How many of you know ... Last Friday came the call we were expecting ... by Niguarda ... have called to make the intervention for the correction of strabismus ...
... ... and so on Wednesday, 10, visits with anesthesia and surgery the next day ...
strabismus is an eye condition in which the two eyes are not lined up, sometimes one can look straight ahead and the other turns in or out.
In the case of Aurora, we are in front of a convergent starbismo, of greater magnitude in the left eye, a very common disease in extremely premature children, and even more so in those who have had ROP, letteratrura in the 30-42% of children with ROP develops later than 6 months-9 months, a squint more or less acute.
As you can see from the photos ... without glasses shows the real level of convergent strabismus, with glasses, the right eye while staring at best the left converges. The eye
squint one eye is so lazy (amblyopia), which if not treated on time, never fail to achieve good visual acuity even with glasses. The simplest and most common is to make sure that you are using the eye partially sighted eye with an occlusion appropriate fixative. It 'so important to know that a child with strabismus should be treated as early as possible and that the best results, start the appropriate treatment (glasses and occlusion) already a few months, we started about 8 months corrected with a 10 occlusionee corrected with glasses. With the occlusion can only ensure the development eye view of the individual but not the visual system and in particular of binocularity. In fact, to ensure that the brain learns to use both eyes to melt and then must receive images from both eyes simultaneously. With occlusion hardly have binocular vision and stereopsis then. It 'must, therefore, that in addition to the band is followed by a rehabilitation program that points to the development of the visual system or the single eye.
Binocular vision is the mechanism that allows sensory, looking with two eyes, of seeing a single image. A perfect collaboration of the muscles causes the eyes are always aligned. Under normal conditions, vistas, ie the imaginary line joining the object with the fovea, converge on one point. The brain thus receives the image of an object from each eye, and incorporates them into a single image, and this ability is called Fusion. The merger will only work if the images sent to the brain come from corresponding retinal points and are more or less equal in size and sharpness. The brain, despite a remarkable capacity to adapt, unable to fuse images too dissimilar in size between them, because the theoretical limit is about 4 diopters, ie between the eye and the other refractive defect must not be greater than 4 Diopters otherwise it will not merge the images. Between the two eyes, However, there is a certain distance and then the same object is viewed from two slightly different angles, so the two images fall on two rods are not exact. This slight discrepancy favors what is considered the highest degree of vision or stereopsis. This term refers to the ability of the visual system to perceive in three dimensions that have a sense of depth. A child without stereopsis, for example, will struggle to pour water into a glass because he can not locate the exact position in space of the glass.
From all these reasons, not least postural adjustments that penalize balance and posture is was decided early intervention, in both eyes.
The surgery was performed Thursday morning, Niguarda Hospital in Milan, under general anesthesia, the intervention involved the medial rectus muscle recession:
surgery lasted about an hour ... and dr. Piozzi advantage of anesthesia has also carried out some important exams in peace, the detailed examination of the fund, estimates of myopia with autorefrattometro.
Aurora was great!! Apart from a super plant to put the needle cannanula .... There were no respiratory complications, has not vomited ... continued to sleep for the first 4 hours of surgery ... and this has avoided the problems associated with the first 3:00 to 4:00 hours, basically a bit of sore eyes. When she woke up completely about five o'clock tea and biscuits ... ate ... and at half past six at the sight of jelly ... shouted "pappapapapappaappapa !!!!!" and after kicking down the corridor of a hospital-wide!
Here are the eyes on waking, before and after:
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| before surgery |
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| a day after |
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| 2 days after |
The next morning, examination, prescription of antibiotic drops and at home !!!!! E 'will be a visit control in 10 days. It continues with glasses and ocllusione, unilateral, three hours just right.
The result is not final yet ... it will take several weeks, sometimes more because his eyes are stbilizzino the desired location ... the result is already visible ... may need further action to perfect editing .... What we have noticed is a greater stability in the walk !!!!!
Get your camera and keep it beside you all day. Each time you change the room, that you prepare to leave, you drive, you do eat, etc. .... breakers. Place it on the floor next to you and uses mirrors, self-timer, tripod and whatever else caught or in bulk. 
After a day have not only acquired a portfolio of your everyday life, not just budge an excellent job on which to vent their creativity, but a mirror on yourself, about your personality that will help you to know you better, to appreciate to autodivertirti. 
